NATCHAUG HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NATCHAUG HOSPITAL INC (EIN 06-0966963)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202132249349300643
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T10:40:39-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060966963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATC | BusinessNameControlTxt |
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul V Maloney | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 8604561311 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Patricia Rehmer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,498,502 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NATCHAUG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | The mission of Natchaug Hospital is to provide a continuum of accessible, community-based services for those living with psychiatric illness and chemical dependency or emotional and related educational disabilities, with a commitment to the dignity and privacy of those needing service, empowering them to participate in their own care, education and recovery. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 625 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $100,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $45,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $52,412,136 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,352,335 | CYProgramServiceRevenueAmt |
| PY Investment Income | $67,669 | PYInvestmentIncomeAmt |
| CY Investment Income | $35,632 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$725,470 | PYOtherRevenueAmt |
| CY Other Revenue | $35,564 | CYOtherRevenueAmt |
| PY Total Revenue | $51,854,335 | PYTotalRevenueAmt |
| CY Total Revenue | $46,468,531 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,680,781 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,189,281 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $11,886 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,043,620 | PYOtherExpensesAmt |
| CY Other Expenses | $16,833,062 | CYOtherExpensesAmt |
| PY Total Expenses | $53,724,401 | PYTotalExpensesAmt |
| CY Total Expenses | $55,022,343 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,870,066 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,553,812 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,330,707 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,707,935 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,216,763 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,368,350 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,113,944 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,339,585 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Natchaug Hospital is to provide a continuum of accessible, community-based services for those living with psychiatric illness and chemical dependency or emotional and related educational disabilities, with a commitment to the dignity and privacy of those needing service, empowering them to participate in their own care, education and recovery. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,946,038 | ExpenseAmt |
| Revenue | $19,433,415 | RevenueAmt |
| Desc | Inpatient Treatment:Natchaug Hospital provides a full range of inpatient psychiatric and substance-abuse treatment for children, adolescents and adults at our 57-bed Mansfield Center facility. The highly qualified, experienced and dedicated professional staff of Natchaug Hospital provides expert care in a supportive, therapeutic setting - helping people regain their stability and return as soon as possible to their own homes. The hospital serves Medicare and Medicaid subscribers and provides care without regard to ability to pay.Intermediate Care (ICC):This is an acute level of care for a longer length of stay for persons living with prolonged and severe mental illness. Historically, people from Eastern Connecticut who were in need of an extended length of stay were referred to Cedarcrest Hospital in Newington. Natchaug Hospital ICC provides this much-needed care for persons from the Eastern Region, closer to the communities where they live and work.United Services and the Southeastern Mental Health Authority are the Local Mental Health Authorities (LMHA's) responsible for authorizing admission to the Intermediate Care Program. The above includes the authorization of Department of Mental Health and Addiction Services (DMHAS) funds to pay for care in the event the patient is medically indigent, has exhausted his/her Medicare benefit, or has no Medicare hospitalization coverage. Patients are most likely to be referred from Eastern Region hospital inpatient units when it becomes clear that the patient will not be able to safely return to the community following an acute care stay. Upon admission, each patient is assessed by a psychiatrist, a registered nurse and a primary therapist. A treatment plan is developed for each patient. The treatment team works closely with the patient, their family and community providers to develop a discharge plan and ensure that community supports are in place.In-Patient Treatment Programs:* Treats approximately 60 patients on a daily basis at the Mansfield locationInpatient Treatment includes:* Comprehensive bio-psycho-social assessment* Formulation of a treatment plan developed with the patient/family which may include the use of medications * Group therapy (a primary treatment approach)* Family therapy and individual therapy* Formulation of a discharge/aftercare plan* Case management servicesTypical patient experience: The majority of our patients arrive via ambulance through the ambulance entrance. All patients receive an initial assessment by a registered nurse and psychiatrist which is completed within 8 hours of admission. Patients are oriented to the unit, the milieu, and the schedule. Our patients are closely monitored for the first 24-48 hours, depending on presentation and symptoms. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,649,958 | ExpenseAmt |
| Revenue | $5,967,900 | RevenueAmt |
| Desc | Joshua Centers: The Joshua Centers provides various treatment programs including:Partial Hospital Program (PHP): The Partial Hospital Program provides four hours of intensive psychiatric support daily for up to five days per week. This is a morning program for adults and an after-school program for children and adolescents. The program can eliminate the need for a hospital stay, and/or help with the transition back to home and regular school after a period of inpatient care.Intensive Outpatient Program (IOP): The Intensive Outpatient Program is somewhat less intense than the PHP, providing three hours of intensive treatment each day for up to five days each week. This program is offered both in the morning and during the evening for adults and after-school for children and adolescents. The IOP program is designed to help continue progress with behavioral health stabilization and recovery.Extended Day Treatment (EDT):This special program, partially funded by the Connecticut Department of Children, supports children and adolescents who have emotional or behavioral health issues that put them at risk of needing psychiatric residential or inpatient care. The Extended Day Treatment program is particularly helpful for children with special needs who are in foster care.Child & Adolescent Treatment Programs:* Treat about 250 children and adolescents daily in all programs/locations* May prevent hospitalization* Aids in transition back to the community following hospitalization* Transportation to Partial Hospital Program, Intensive Outpatient Program and Extended Day Program: Most of this transportation is provided by Natchaug Hospital staff, driving the Hospital vans that pick up patients from their school or home. * Average length of stay in PHP/IOP program, 6 - 8 weeks; EDT and Intensive In-Home Child & Adolescent Psychiatric Services, 6 months.Joshua Program treatment services include:* Comprehensive bio-psycho-social assessment* Group Therapy (the primary treatment approach)* Family and individual therapy* Medication management* Occupational and creative rehabilitation therapy* Comprehensive aftercare/discharge planningPartial Hospital Program (PHP): four hours of treatment for up to five days per week Intensive Outpatient program (IOP): three hours of treatment up to five days per week Extended Day Treatment (EDT) is a specialized therapeutic after-school support program that provides structured groups for three hours a day up to five days per week to learn and practice social skills such as group interaction, listening, cooperative leisure activities. Intensive In-Home Child & Adolescent Psychiatric Services(IICAPS): developed and monitored by the Yale University Child Study Center, provides in home services 2-3 times per week to help meet the needs of families with children with persistent psychiatric disorders. Client referral to a Child/Adolescent Treatment Program:* Referred from an inpatient program in Connecticut* Community providers (Child & Family Services; United Children & Families; Emergency Rooms)* School systems* Private providers (community psychiatrists or therapists)* Family and friendsIn a treatment day, clients arrive after being picked up from their school (or home) in one of Natchaug Hospital vans and will attend four groups in PHP and three groups in IOP. Groups include a psychotherapy group, educational groups and an activity group. The activity group is led by a Mental Health Worker or a CRS Staff member; all other groups are led by a masters level clinician. Education groups might include managing emotions, dangers of substance abuse, handling relationships, etc. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,617,103 | ExpenseAmt |
| Revenue | $7,737,468 | RevenueAmt |
| Desc | Education: Natchaug provides various educational programs such as:Clinical Day Treatment School Programs (CDT):Natchaug's clinical day treatment programs, which are approved by the Connecticut Department of Education, offer special education services to students in grades 1 - 12, whose social, emotional or behavioral health problems prevent them from functioning successfully in a regular school environment. Each student's individual academic and clinical treatment plan is designed to address their special needs and return them to their regular schools as soon as possible. Natchaug Hospital schools operate in Enfield, Danielson, Mansfield, Norwich, and Windham. Natchaug is also the contracted operator of a school for the Town of Norwich. Natchaug Hospital's Board of Directors serves a number of functions similar to a Board of Education, with responsibilities for the oversight and the implementation of certain State statutes and Federal legislation.Natchaug Hospital School Programs:* Each school day, an average of 200 students attend Natchaug Hospital's school programs* Approved by the Connecticut Department of Education * Inpatient School, Journey House School, Clinical Day Treatment School in six sites Students come to the Inpatient School on an emergency basis, and for non-educational reasons; school staff determines if the student receives special education services, and if there is an Individual Education Plan (IEP) to be implemented. Students come to the Journey House School on a planned basis and for non-educational reasons. Each student's school files are evaluated for proper placement in school. Girls who receive special education, Section 504, and regular education all are educated at the Journey School. Students come to the six CDT sites via a Planning and Placement Team (PPT) Meeting from their home school district. They may be placed on a diagnostic basis with PPT meetings every two weeks while psychiatric, psychological and educational assessments are performed. Students also may enter the program already receiving special education services with an IEP (Individualized Education Plan) in place. Students at the Hickory Street School are placed by the Norwich Board of Education. All students are identified as special education and have an IEP in place. Transportation to all day school programs is provided by the Local Education Authority (LEA) that placed the student; however, transportation during the school day for field trips is often provided using Natchaug vans with school staff driving; sometimes school field trips are transported by outside vendors. Description of typical day:A typical day in the Inpatient and Journey House School is a five-hour day that covers all academic areas, including electives of Art and PE. A typical day in the CDT schools is similar to any traditional school day, with academic subjects in addition to psycho-educational groups led by school clinicians. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,464,772 | ExpenseAmt |
| Revenue | $13,264,730 | RevenueAmt |
| Desc | Natchaug Hospital is eastern Connecticut's leading provider of mental health and addiction services for children, adolescents and adults. Founded in 1954, Natchaug Hospital provides a wide range of mental health and addiction treatment services for children, adolescents and adults in eastern Connecticut. Natchaug offers inpatient services, including one of only six pediatric inpatient units in the state of Connecticut, residential treatment for court-involved teenage girls, clinical day treatment schools, and ambulatory services through its 10-site network of care.In addition to above, Natchaug provides the following services/programs:Child Services Adolescent ServicesYoung Adult ServicesAdult ServicesAlcohol AbuseOlder Adults ProgramAttention Deficit Hyperactivity Disorder Evaluations Autism Spectrum Disorder EvaluationsPsychological ServicesSchoolsExtended Day TreatmentInpatient TreatmentIntensive In-Home Child and Adolescent Psychiatric Services (IICAPS)Intensive Outpatient TreatmentJoshua Center ProgramsJourney House ProgramPartial HospitalizationResidential Treatment ProgramMedication Assisted Treatment Close to Home (MATCH) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,464,772 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $13,264,730 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $48,677,871 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 625 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul V Maloney VP Finance Behavioral Health Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| David Whitehead | ||||||||||
| Former President | 0.00 | 60.00 | Yes (X) | $0 | $1,157,035 | $72,930 | ||||
| Margaret Marchak | ||||||||||
| Secretary (Thru 6/2020) | 2.00 | 58.00 | $0 | $850,753 | $77,083 | Yes (X) | ||||
| John Santopietro | ||||||||||
| SVP, Psychiatrist in Chief | 30.00 | 30.00 | $0 | $720,683 | $139,901 | Yes (X) | ||||
| Donna Handley | ||||||||||
| Director | 20.00 | 40.00 | $0 | $715,935 | $71,531 | Yes (X) | ||||
| Patricia Rehmer | ||||||||||
| President BHN | 30.00 | 30.00 | $0 | $588,308 | $97,619 | Yes (X) | ||||
| Deborah Weidner | ||||||||||
| VP, Safety and Quality | 30.00 | 30.00 | $527,016 | $0 | $57,897 | Yes (X) | ||||
| David Mack | ||||||||||
| Chief Legal Officer | 2.00 | 58.00 | $0 | $470,090 | $37,908 | Yes (X) | ||||
| Jonathan Allen | ||||||||||
| VP, Substance Abuse | 30.00 | 30.00 | $0 | $426,660 | $58,037 | Yes (X) | ||||
| James O'Dea | ||||||||||
| VP, Operations | 30.00 | 30.00 | $0 | $328,892 | $50,517 | Yes (X) | ||||
| Paul Maloney | ||||||||||
| VP, Finance | 30.00 | 30.00 | $0 | $312,771 | $52,385 | Yes (X) | ||||
| Mark Tramontozzi | ||||||||||
| Director | 1.00 | 59.00 | $0 | $306,335 | $49,189 | Yes (X) | ||||
| Pamela Shuman | ||||||||||
| Associate Medical Director | 60.00 | $280,342 | $0 | $53,737 | Yes (X) | |||||
| Paul Weigle | ||||||||||
| Assoc Medical Director BHN | 60.00 | $270,998 | $0 | $62,612 | Yes (X) | |||||
| Muhammad Hassan Majeed | ||||||||||
| Psychiatric Attending | 60.00 | $277,330 | $0 | $36,261 | Yes (X) | |||||
| Manu Sharma | ||||||||||
| Psychiatrist Attending | 60.00 | $260,771 | $0 | $48,660 | Yes (X) | |||||
| David Henry Streckmann | ||||||||||
| Psychiatrist Attending | 60.00 | $253,247 | $0 | $49,960 | Yes (X) | |||||
| Mary Barry MD | ||||||||||
| Chair | 2.00 | 58.00 | $0 | $195,768 | $17,338 | Yes (X) | Yes (X) | |||
| Gregory Shangold MD | ||||||||||
| Director | 1.00 | 2.00 | $0 | $71,296 | $3,473 | Yes (X) | ||||
| David Coletti MD | ||||||||||
| Director | 1.00 | 59.00 | $0 | $70,473 | $0 | Yes (X) | ||||
| Henry Beck | ||||||||||
| Vice Chair | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Carmen Cid | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Stephen Larcen MD | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| James Watson MD | ||||||||||
| Director (Thru 12/2019) | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Diane Wishnafski | ||||||||||
| Chair (Thru 6/2020) | 2.00 | 3.00 | $0 | $0 | $0 | Yes (X) | ||||
| Anthony Joyce III | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Carina Vora DDS | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,869,704 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,214,999 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,037,038 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Staffing Services | $711,661 |
| Morrison Management SP Inc Acute Care | |||||
| 400 Northbridge Road | Sandy Springs | GA | 30350 | Food Services | $632,179 |
| Barton Associates Inc | |||||
| PO Box 417844 | Boston | MA | 02241 | Staffing Services | $601,850 |
| CHG Companies Inc | |||||
| PO Box 972651 | Dallas | TX | 75397 | Medical Services | $493,448 |
| Crothall HealthCare Inc (EVS Portion) | |||||
| 13028 Collections Center Drive | Chicago | IL | 60693 | Transportation Services | $142,053 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $45,000 | AllOtherContributionsAmt |
| Total Contributions | $45,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $46,352,335 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,352,335 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,352,335 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,178 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,178 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,564 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,564 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,564 | TotalRevenueColumnAmt |
| Exclusion | $35,564 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,425 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $29,971 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$15,546 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,546 | TotalRevenueColumnAmt |
| Exclusion | -$15,546 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,468,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,403,513 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,018 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,377 | TotalAmt |
| Program Services | $541,377 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,278,315 | TotalAmt |
| Program Services | $26,922,731 | ProgramServicesAmt |
| Management And General | $2,355,584 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,820,868 | TotalAmt |
| Program Services | $1,709,681 | ProgramServicesAmt |
| Management And General | $111,187 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,240,044 | TotalAmt |
| Program Services | $3,637,155 | ProgramServicesAmt |
| Management And General | $602,889 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,308,677 | TotalAmt |
| Program Services | $2,132,063 | ProgramServicesAmt |
| Management And General | $176,614 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,459 | TotalAmt |
| Management And General | $10,459 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,217,570 | TotalAmt |
| Program Services | $3,217,570 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,823 | TotalAmt |
| Management And General | $23,823 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,989 | TotalAmt |
| Program Services | $379,589 | ProgramServicesAmt |
| Management And General | $213,814 | ManagementAndGeneralAmt |
| Fundraising | $5,586 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,138,960 | TotalAmt |
| Program Services | $1,851,986 | ProgramServicesAmt |
| Management And General | $1,286,974 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,589 | TotalAmt |
| Program Services | $1,343,553 | ProgramServicesAmt |
| Management And General | $23,036 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,363 | TotalAmt |
| Program Services | $72,962 | ProgramServicesAmt |
| Management And General | $3,401 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,456 | TotalAmt |
| Program Services | $18,576 | ProgramServicesAmt |
| Management And General | $13,830 | ManagementAndGeneralAmt |
| Fundraising | $50 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,399 | TotalAmt |
| Program Services | $2,107 | ProgramServicesAmt |
| Management And General | $1,292 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,986,547 | TotalAmt |
| Program Services | $4,438,027 | ProgramServicesAmt |
| Management And General | $548,520 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,753 | TotalAmt |
| Program Services | $325,940 | ProgramServicesAmt |
| Management And General | $629,813 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,268 | TotalAmt |
| Program Services | $470,268 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services | $899,416 | $713,722 | $183,144 | $2,550 |
| Medical Supplies | $470,061 | $470,061 | ||
| Repairs & Maintenance | $421,575 | $389,979 | $31,596 | |
| Dues & Licenses | $118,359 | $39,075 | $77,927 | $1,357 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,475 | TotalAmt |
| Program Services | $1,449 | ProgramServicesAmt |
| Management And General | $38,683 | ManagementAndGeneralAmt |
| Fundraising | $2,343 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,022,343 | TotalAmt |
| Program Services | $48,677,871 | ProgramServicesAmt |
| Management And General | $6,332,586 | ManagementAndGeneralAmt |
| Fundraising | $11,886 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,218,811 | BOYAmt |
| EOY | $4,918,081 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $50,125 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $909,566 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,123,988 | BOYAmt |
| EOY | $4,908,176 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,757 | BOYAmt |
| EOY | $148,757 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,272 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,913,091 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,457,747 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,861,856 | BOYAmt |
| EOY | $10,455,344 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,155 | BOYAmt |
| EOY | $82,850 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,885,302 | BOYAmt |
| EOY | $2,144,602 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,330,707 | BOYAmt |
| EOY | $22,707,935 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,897,525 | BOYAmt |
| EOY | $3,666,582 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,867 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,319,238 | BOYAmt |
| EOY | $12,697,901 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,216,763 | BOYAmt |
| EOY | $16,368,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,691,513 | BOYAmt |
| EOY | $5,914,305 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422,431 | BOYAmt |
| EOY | $425,280 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,113,944 | BOYAmt |
| EOY | $6,339,585 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,330,707 | BOYAmt |
| EOY | $22,707,935 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,553,812 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$220,547 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,828,215 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,629,093 | DepreciationAmt |
| Book Value | $8,199,122 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,540,994 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,463,215 | DepreciationAmt |
| Book Value | $1,077,779 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,310,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,365,439 | DepreciationAmt |
| Book Value | $945,113 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $233,330 | OtherCostOrOtherBasisAmt |
| Book Value | $233,330 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,455,344 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Security Deposits | $44,076 |
| Patient Refunds | $239,464 |
| Other Assets | $1,861,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,144,602 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Professional Liability - Program Related | $2,216,319 |
| Accrued Post Retirement Expenses | $3,596,769 |
| Accrued Malpractice | $831,854 |
| Due to Affiliates | $6,052,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,697,901 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,093 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,200,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,925,325 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,274,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,270,399 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,925,325 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,345,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $384,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $384,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $483,026 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $483,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,673 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $979,579 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $979,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,249,978 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,925,325 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,324,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11660 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,144,925 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $2,549,876 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,110,143 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$560,267 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Rd PO Box 260 | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.natchaug.org | WebsiteAddressTxt |
| State License | H0003 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Natchaug Hospital, Inc. | Part V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource.Focus group was conducted on February 14, 2018. Community forums, and individual key informant interviews were conducted between February and May 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Central Region. Follow-up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Center for Healthy Aging Connecticut Legal Services Eastern Connecticut Health Insurance Program (ECHIP)Eastern Connecticut Workforce BoardEastern Highlands Health DistrictGenerationsMansfield Youth ServicesNCDHD Natchaug HospitalNortheast District Department of HealthSt. Joseph's Living Town of MansfieldUConn Student Health ServicesUnited Services, IncWillimantic DCF officeWillimantic Fire DepartmentWillimantic PoliceWindham HospitalWindham Public SchoolsWindham Region Transit DistrictThe 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Natchaug Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements:- Medically Underserved Areas- Health Professional Shortage Areas- Demographics- Ethnicity Distributions- Median Household Incomes- Homeownership Rates- Poverty Metrics- Unemployment Rates- Educational Metrics- Children in Poverty and Single-Parent Households |
| Natchaug Hospital, Inc. | Part V, Section B, Line 6a: The hospital facility's CHNA was conducted with Windham Community Memorial Hospital.Part V, Section B, Line 7a:https://natchaug.org/health-wellness/community-health-needs-assessment |
| Natchaug Hospital, Inc. | Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part v, Section B, Line 10a:https://natchaug.org/health-wellness/community-health-needs-assessment |
| Natchaug Hospital, Inc. | Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 16, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide-ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Natchaug Hospital focus area are listed below: Mental Health:Mental health issues were identified as a top area need. - Undocumented citizens not seeking or accepting care for fear of losing other services - The stigma of mental health difficult to overcome - Availability of services for children - Home behavioral health services can be 6-8 weeks on the waiting list - Need for more providers and more screening services - Shortage of psychiatrists, difficult to recruit based on comparatively lower pay - Need for more youth based mental health programs - Mental health patients get dropped off in hospital EDs - more and more are not able to be medically and behaviorally handled - All three counties have less primary care physicians, dentists, and mental health providers per person than the State of Connecticut. New London County has better provider ratios than Windham or Tolland counties, which are significantly worse than the State of Connecticut and the top 10th percentile of counties across the United States. - The service area has slightly better physical health metrics and comparable mental health metrics to the State of Connecticut. Tolland County has the lowest rates of poor physical and mental health. - The results of the community forum in May 2018, where participants asked to prioritize from a list of 15 top community needs, reveal mental health issues as the #1 top priority - Substance abuse was identified as a top issue:- Prevalence of smoking is a big issue - Placement after discharge and follow-up issues for patients with substance abuse- Need for a detox facility in the area- Need for prevention in opioid treatmentCHIP addresses this need in the following manner:a.Embed behavioral health services in primary care (ongoing).b.Recruit more mental health providers, with focus on community outpatient services (e.g., family therapists).c.Implement Recovery Coach program in ED.d.Provide more depression screening. e.Further Mental Health First Aid training and grow community behavioral health training at the local level.f.Enhance services in virtual mental health, including tele-psychiatry |
| Natchaug Hospital, Inc. | Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of the health care expenses. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Office of Professional Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Section B, Line 16a: FAP Website:natchaug.org/patients-caregivers/billing-insurance/financial-assistance Part V, Section B, Line 16b: FAP Application Website:natchaug.org/patients-caregivers/billing-insurance/financial-assistancePart V, Section B, Line 16c: FAP Plain Language Summary:natchaug.org/patients-caregivers/billing-insurance/financial-assistance |
| Natchaug Hospital, Inc. | Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Sachem House | ||||
| 151 Storrs Road | Mansfield Center | CT | 06250 | Day Treatment Center |
| 2 - Joshua Center Thames Valley | ||||
| 11A Stott Avenue | Norwich | CT | 06360 | Day Treatment Center |
| 3 - Joshua Center Northeast | ||||
| 934 North Main Street | Killingly | CT | 06239 | Day Treatment Center |
| 4 - Joshua Center Enfield | ||||
| 72 Shaker Road | Enfield | CT | 06082 | Day Treatment Center |
| 5 - Joshua Center Shoreline | ||||
| 5 Research Parkway | Old Saybrook | CT | 06475 | Day Treatment Center |
| 6 - RiverEast Day Treatment Center | ||||
| 428 Hartford Tpke | Vernon | CT | 06066 | Day Treatment Center |
| 7 - Joshua Center SE & Care Plus | ||||
| 1353 Gold Star Highway | Groton | CT | 06340 | Day Treatment Center |
| 8 - Quinebaug Day Treatment Center | ||||
| 11 Dog Hill Road | Killingly | CT | 06241 | Day Treatment Center |
| 9 - Older Adult Program Windham Hospital | ||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | Day Treatment Center |
| 10 - Green Valley School | ||||
| 206 Pond Road | Franklin | CT | 06254 | Day Treatment Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Natchaug Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status, and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Office of Health Strategy (OHS) annually. |
| Part I, Line 7: | The organization utilized an overall cost to charge ratio, (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare Cost Report and reduced for medicare costs previously reported on Part I Lines 7f and g. |
| Part I, Line 7g: | No physician clinic costs were included in the Subsidized Health Services cost calculations. |
| Part III, Line 3: | A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2019 would be immaterial. |
| Part III, Line 4: | Please see the text of the footnote that describes bad debt expense beginning on page 30 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 4. |
| Part III, Line 8: | Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benefits. |
| Part III, Line 9b: | Natchaug Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. |
| Part VI, Line 2: | Natchaug Hospital periodically canvases our Social Work/Case Management staff as to what they are seeing and hearing about as they work with patients. We also track requests from other entities such as area non-profits, local government agencies and public schools. These requests often reflect growing needs and issues in our community. Data from health needs assessments conducted by Backus Hospital, Lawrence & Memorial Hospital, the United Way and regional health districts is also reviewed. Needs are also assessed by tracking waiting lists for admission to programs. |
| Part VI, Line 3: | Natchaug Hospital provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. |
| Part VI, Line 4: | Natchaug Hospital admits residents of, on average, 150 of Connecticut's 169 towns and residents of six states around the country each year. Natchaug Hospital's primary service area is comprised of 72 towns, predominantly east of the Connecticut River, which together represent approximately half the state's land area. Natchaug Hospital's clients represent urban, suburban and rural areas. As of FY18, the total population of the Natchaug Hospital service area is 594,576. 19.2% are age 0-17, 64% are age 18-64 and 16.8% are seniors. Whites make up 79.5%, Black 4.9%, Hispanics 8.9% and all other races combined is 6.6%. The population in poverty is 9.3%. The unemployment rate is 7.5%. Those with no High School Diploma is 8.5%. 18.4% have a Bachelor's Degree.The majority of Natchaug Hospital clients are financially stressed, as measured by the number of students meeting Federal free/reduced lunch criteria and the number of clients overall who are uninsured or participating in a public support plan such as HUSKY, Medicaid or Medicare.The region is a federally-designated medically underserved area. |
| Part VI, Line 5: | A Regional Board governs Natchaug, Windham, and Backus Hospitals. The Board is responsible for maintaining outstanding quality services and credentials its medical staff. All of the Directors either reside or work in our service area and are generally neither employees, family members, nor contractors of the Hospital. Natchaug Hospital staff actively contribute to the community. For example, Natchaug Hospital's Director of Pharmacy serves on the Experiential Education Advisory Board of UConn's School of Pharmacy, staffs a Migrant Farmers Clinic, serves on the Accreditation Council for Pharmacy Education, and more; a Program Director serves on the Eastern Connecticut Chamber of Commerce's Health Advisory Committee and as a Chamber Trustee; two Natchaug staff serve on their local Boards of Education; at least three Program Directors serve their region's Systems of Care; and the Human Services Advisory Board for the Mansfield Town Council includes a representative from Natchaug. Many professionals are continuing to benefit from Natchaug Hospital's Speaker's Bureau program which offers trainings on behavioral health topics for professionals working with school age youth (school nurses, guidance counselors, teachers, etc), for free. The goals of this community outreach are to 1) help identify treatable behavioral health conditions as early as possible and 2) to improve awareness of effective classroom. The Speakers Bureau makes Natchaug staff experts more accessible to the community. Schools, community groups, businesses and others can request a Natchaug expert to provide training, lead a school assembly or serve on a panel for free. |
| Part VI, Line 6: | Hartford Healthcare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Natchaug Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care." The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital, the largest of the system hospitals.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. |
| Part VI, Line 7, Reports Filed With States | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Whitehead | ||||||||||||||
| Former President | $0 | $640,738 | $0 | $394,623 | $0 | $121,674 | $0 | $19,600 | $0 | $53,330 | $0 | $1,229,965 | $0 | $0 |
| Margaret Marchak | ||||||||||||||
| Secretary (Thru 6/2020) | $0 | $503,824 | $0 | $259,612 | $0 | $87,317 | $0 | $19,600 | $0 | $57,483 | $0 | $927,836 | $0 | $0 |
| John Santopietro | ||||||||||||||
| SVP, Psychiatrist in Chief | $0 | $500,662 | $0 | $215,606 | $0 | $4,415 | $0 | $89,685 | $0 | $50,216 | $0 | $860,584 | $0 | $0 |
| Donna Handley | ||||||||||||||
| Director | $0 | $439,144 | $0 | $207,260 | $0 | $69,531 | $0 | $19,600 | $0 | $51,931 | $0 | $787,466 | $0 | $0 |
| Patricia Rehmer | ||||||||||||||
| President BHN | $0 | $383,638 | $0 | $195,974 | $0 | $8,696 | $0 | $72,366 | $0 | $25,253 | $0 | $685,927 | $0 | $0 |
| Deborah Weidner | ||||||||||||||
| VP, Safety and Quality | $383,455 | $0 | $141,563 | $0 | $1,998 | $0 | $19,600 | $0 | $38,297 | $0 | $584,913 | $0 | $0 | $0 |
| David Mack | ||||||||||||||
| Chief Legal Officer | $0 | $327,019 | $0 | $142,033 | $0 | $1,038 | $0 | $19,600 | $0 | $18,308 | $0 | $507,998 | $0 | $0 |
| Jonathan Allen | ||||||||||||||
| VP, Substance Abuse | $0 | $348,600 | $0 | $77,028 | $0 | $1,032 | $0 | $9,800 | $0 | $48,237 | $0 | $484,697 | $0 | $0 |
| James O'Dea | ||||||||||||||
| VP, Operations | $0 | $235,934 | $0 | $90,741 | $0 | $2,217 | $0 | $19,505 | $0 | $31,012 | $0 | $379,409 | $0 | $0 |
| Paul Maloney | ||||||||||||||
| VP, Finance | $0 | $224,818 | $0 | $84,780 | $0 | $3,173 | $0 | $36,400 | $0 | $15,985 | $0 | $365,156 | $0 | $0 |
| Mark Tramontozzi | ||||||||||||||
| Director | $0 | $304,201 | $0 | $550 | $0 | $1,584 | $0 | $17,458 | $0 | $31,731 | $0 | $355,524 | $0 | $0 |
| Pamela Shuman | ||||||||||||||
| Associate Medical Director | $277,130 | $0 | $1,050 | $0 | $2,162 | $0 | $19,600 | $0 | $34,137 | $0 | $334,079 | $0 | $0 | $0 |
| Paul Weigle | ||||||||||||||
| Assoc Medical Director BHN | $267,367 | $0 | $2,175 | $0 | $1,456 | $0 | $19,600 | $0 | $43,012 | $0 | $333,610 | $0 | $0 | $0 |
| Muhammad Hassan Majeed | ||||||||||||||
| Psychiatric Attending | $274,359 | $0 | $2,675 | $0 | $296 | $0 | $19,526 | $0 | $16,735 | $0 | $313,591 | $0 | $0 | $0 |
| Manu Sharma | ||||||||||||||
| Psychiatrist Attending | $255,048 | $0 | $5,550 | $0 | $173 | $0 | $17,605 | $0 | $31,055 | $0 | $309,431 | $0 | $0 | $0 |
| David Henry Streckmann | ||||||||||||||
| Psychiatrist Attending | $251,107 | $0 | $1,900 | $0 | $240 | $0 | $12,223 | $0 | $37,737 | $0 | $303,207 | $0 | $0 | $0 |
| Mary Barry MD | ||||||||||||||
| Chair | $0 | $183,634 | $0 | $150 | $0 | $11,984 | $0 | $6,433 | $0 | $10,905 | $0 | $213,106 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Natchaug Hospital, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Natchaug Hospital, Inc. on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2019 SERP Accruals were made on behalf of the following individuals: Patricia Rehmer $52,766 John Santopietro $70,085 2019 SERP Payouts were made on behalf of the following individuals: David Whitehead $28,528 * Margaret Marchak $21,554 * Donna Handley $18,721 * *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Natchaug Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization has the authority to approve/remove members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. |
| Form 990, Part VI, Section B, line 11b | The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then forwarded to the the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Natchaug Hospital, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Natchaug Hospital, Inc., established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; -The President & CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the President & CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The Hospital's Form 990, 990-T, Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part XI, line 9: | Change in Pension and Post-Retirement Funding Obligation -322,000. Transfer to Affiliated Entity 101,453. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 264469178 | Employee Fund | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Center for Hospice Care Southeast Connecticut Inc | |||||||||||
| 227 Dunham Street | Norwich | CT | 06360 | 222667260 | Hospice | CT | 501(c)(3) | 7 | HHC Independence at Home | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(c)(3) | 12 (c) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(c)(3) | 7 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06102 | 222672834 | Support & Management Svcs. To HH and Affiliates | CT | 501(c)(3) | 12 (c) | 0 | N/A | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Investment Management | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Independence At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| Hartford Healthcare Medical Group Specialists PLLC | |||||||||||
| 1290 Silas Dean Highway 2nd Floor | Wethersfield | CT | 06109 | 371911194 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare Medical Group Inc | |||||||||||
| 1290 Silas Deane Highway 2nd Floor | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 066040747 | Fundraising | CT | 501(c)(3) | 12 (a) | Hartford Hospital | Yes (1) | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(c)(3) | 12 (a) | Midstate Medical Center | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Rushford Center Inc | Yes (1) | |
| St Vincent's Development Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 222554128 | Holding Company | CT | 501(c)(25) | St Vincent's Health Services Corp | Yes (1) | ||
| St Vincent's Health Services Corp | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 222558134 | Supporting Organization | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Multispecialty Group Inc | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 800458769 | Healthcare Services | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Special Needs Center Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 060702617 | Residential Services for Handicapped | CT | 501(c)(3) | 10 | St Vincent's Health Services Corp | Yes (1) | |
| SVMC Holdings Inc dba St Vincent's Medical Center | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 832550272 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Charlotte Hungerford Hospital | |||||||||||
| 540 Litchfield Street PO Box 988 | Torrington | CT | 06790 | 060646678 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 060646768 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Visiting Nurse Services of CT Inc | |||||||||||
| 765 Fairfield Avenue | Bridgeport | CT | 06604 | 060665196 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Advanced Medical Imaging of NW CT LLC | |||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | Magnetic Resonance Imaging | CT | N/A |
| Ambulance Service of Manchester LLC | |||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A |
| Central Connecticut Endoscopy Center | |||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Svcs | CT | N/A |
| Connecticut Imaging Partners LLC | |||||||
| c/o Jefferson Radiology 1500 Concor | Sunrise | FL | 33323 | 134298940 | Imaging Services | CT | N/A |
| Connecticut Orthopaedic Surgery Center LLC | |||||||
| 205 Sub Way | Milford | CT | 06461 | 134298940 | Surgery Svcs | CT | N/A |
| Constitution Surgery Center East LLC | |||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Svcs | CT | N/A |
| CT GI Endoscopy Center LLC ( Bloomfield) | |||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A |
| Glastonbury Endoscopy Center LLC | |||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Svcs | CT | N/A |
| Glastonbury Surgery Center LLC | |||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Svcs | CT | N/A |
| Hartford-Middlesex Clinical System LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A |
| HHC Hartford Surgery Center LLC | |||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Svcs | CT | N/A |
| HHC Southington Surgery Center LLC | |||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A |
| HHC Urgent Care Go Health LLC | |||||||
| 2711 Centerville Road Suite 400 | Avon | CT | 06001 | 815112698 | Urgent Care Services | DE | N/A |
| Med East Assoc LLC | |||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A |
| MedConn Collection Agency | |||||||
| 2049 Silas Deane Highway Suite 305 | Rocky Hill | CT | 06067 | 061408854 | Collections Services | CT | N/A |
| New Britain MRI Limited Partnership | |||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic resonance imaging | CT | N/A |
| Rocky Hill Surgery Center LLC | |||||||
| 1111 Cromwell Avenue Building 1 | Rocky Hill | CT | 06067 | 833096156 | Surgery Svcs | CT | N/A |
| The Endoscopy Center of Northwest Connecticut LLC | |||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Svcs | CT | N/A |
| Wallingford Endoscopy Center LLC | |||||||
| 85 Seymour Street Suite 1000 | Hartford | CT | 06106 | 824601730 | Endoscopy Svcs | CT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Billing Services | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| HHMOB Corporation | |||||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church Street | Hamilton | BD | BD | ||||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Litchfield County Healthcare Service Corporation | |||||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 061227655 | Management Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condo Assoc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094838 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| L | $133,852 | FMV |
| Hartford Hospital | ||
| O | $449,339 | FMV |
| Hartford Hospital | ||
| P | $316,140 | FMV |
| Hartford Hospital | ||
| S | $213,464 | FMV |
| Rushford Center Inc | ||
| M | $369,424 | FMV |
| Rushford Center Inc | ||
| R | $2,531,934 | FMV |
| Rushford Center Inc | ||
| S | $65,406 | FMV |
| The William Backus Hospital | ||
| A | $60,350 | FMV |
| The William Backus Hospital | ||
| L | $484,965 | FMV |
| The William Backus Hospital | ||
| P | $162,181 | FMV |
| The William Backus Hospital | ||
| R | $405,573 | FMV |
| Windham Community Memorial Hospital | ||
| L | $103,662 | FMV |
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